| Ozark Rural Healthcare LLC | |
|
7505 E 87th St Kansas City MO 64138-3917 | |
| (573) 201-0356 | |
| (689) 788-4090 |
| Full Name | Ozark Rural Healthcare LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 7505 E 87th St, Kansas City, Missouri |
| Authorized Official Name and Position | Sarfaraz Jasdanwala (MD) |
| Authorized Official Contact | 3129535636 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ozark Rural Healthcare LLC 7505 E 87th St Kansas City MO 64138-3917 Ph: (573) 201-0356 | Ozark Rural Healthcare LLC 7505 E 87th St Kansas City MO 64138-3917 Ph: (573) 201-0356 |
| NPI Number | 1851026439 |
|---|---|
| Provider Enumeration Date | 07/19/2022 |
| Last Update Date | 05/12/2026 |
| Certification Date | 05/12/2026 |
| Medicare PECOS PAC ID | 1052797602 |
|---|---|
| Medicare Enrollment ID | O20221005000237 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851026439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 261QR1300X | Clinic/center - Rural Health | () | Secondary |
| Provider Name | Sarfaraz Abdeali Jasdanwala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851646665 PECOS PAC ID: 8426364258 Enrollment ID: I20150825003318 |
| Provider Name | Caisie Nichole Nowack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275252793 PECOS PAC ID: 4082090386 Enrollment ID: I20221010000944 |
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